Individual provider Active NPI

Ratkanhnha Siv, MSW, LCSW

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1356507693
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1070 Main St
Suite 201
Pawtucket, RI 02860-4974
Phone
(401) 721-5901
Fax
(401) 721-5902
NPI assigned
Aug 6, 2008
Last updated
May 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1070 Main St
Suite 201
Pawtucket, RI 02860-4974

Mailing address

1070 Main St
Suite 201
Pawtucket, RI 02860-4974
Phone (401) 721-5901

Other identifiers 2

IdentifierTypeStateIssuer
GH56945MedicaidRI
FHR012312MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1356507693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MAIN ST",
            "address_2": "SUITE 201",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604974",
            "telephone_number": "401-721-5901",
            "fax_number": "401-721-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 MAIN ST",
            "address_2": "SUITE 201",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604974",
            "telephone_number": "401-721-5901",
            "fax_number": "401-721-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIV",
        "first_name": "RATKANHNHA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GH56945",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHR012312",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.